Legislation impacting pharmacy benefits
Optum Rx closely monitors and acts to influence legislation that has the potential to adversely impact pharmacy benefits offered by both fully insured and self-insured clients.
The most recent updates are available, below. Check back on a quarterly basis for the latest legislative updates.
Regulations to watch: Spring 2024
Optum Rx closely monitors and acts to influence legislation and rulemaking that has the potential to adversely impact pharmacy benefits offered by both fully insured and self-insured clients. Here is a quick summary of the latest pharmacy benefit legislative and regulatory issues happening this winter:
- Federal PBM reform legislation unlikely in federal funding package
- Centers for Medicare and Medicaid Services releases 2025 Advance Notice and guidance on Medicare prescription payment plan
- 2024 State legislative sessions underway
- New York proposes new PBM regulation
- FDA approves Florida drug importation plan
- Supreme Court to consider abortion drug cases
- What Optum Rx is doing and how your voice can be heard
Addressing pharmacy issues that matter to you
From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.
Regulatory update: Winter 2023
Get the latest on legislation impacting PBMs.
Regulations to watch: Fall 2023
Learn what's at stake as the PBM legislation advances on Capitol Hill.